Healthcare Provider Details

I. General information

NPI: 1043237720
Provider Name (Legal Business Name): STEVEN DOUGLAS FIRMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 COMMERCIAL ST
MINGO JCT OH
43938-1066
US

IV. Provider business mailing address

234 DANIEL DR
NEW CUMBERLAND WV
26047-2566
US

V. Phone/Fax

Practice location:
  • Phone: 740-535-1182
  • Fax: 740-535-1648
Mailing address:
  • Phone: 304-564-4439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-24711
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: